Johnson, Miles
Johnson, Miles is an individual health care provider with primary practice located at 150 Fiddlers Rdg , Fayetteville GA 30214-2684. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Johnson, Miles can be contacted via phone (404) 664-4578.Contact Information
Primary practice address
150 Fiddlers Rdg
Fayetteville GA 30214-2684
Phone: (404) 664-4578
Fax: (770) 991-5012
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 038817 | Georgia |
Profile Details
| NPI number | 1568419844 |
|---|---|
| LBN Legal business name | Johnson, Miles |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 30th, 2006 |
| Last updated | Jan 12th, 2026 - about 10 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568419844 | NPPES |
| Georgia | MEDICAID | 00622729G |
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